Individual provider Active NPI

Kevin Robert Hanz, MD

  • Plastic Surgery Physician
  • Dallas, TX
National Provider Identifier
1811166887
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
BP30029762 Issued in TX
Practice address
10743 Preston Rd
Dallas, TX 75230-3806
Phone
(214) 905-5075
Fax
(214) 905-0903
NPI assigned
Feb 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X BP30029762 TX Primary

Addresses

Primary practice location

10743 Preston Rd
Dallas, TX 75230-3806

Mailing address

10743 Preston Rd
Dallas, TX 75230-3806
Phone (214) 905-5075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170830001957 TX Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 9931231701 Practice locations: Dallas, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP30029762TXMDPlastic Surgery Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1811166887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10743 PRESTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752303806",
            "telephone_number": "214-905-5075",
            "fax_number": "214-905-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10743 PRESTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752303806",
            "telephone_number": "214-905-5075",
            "fax_number": "214-905-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANZ",
        "first_name": "KEVIN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-25",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "BP30029762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.